Perbedaan Cairan Irigasi Antara NaCl 0,9 % dan Steril Water Terhadap Sindrom Transurethral Resection of Prostate (TURP) Pada Pasien Post Operasi TURP

Maria Magdalena; Bangun Dwi Hardika; Aniska Indah Fari

doi:10.32524/jksp.v4i2.1054

Penulis

Maria Magdalena Universitas Katolik Musi Charitas
Bangun Dwi Hardika Universitas Katolik Musi Charitas
Aniska Indah Fari Universitas Katolik Musi Charitas

DOI:

https://doi.org/10.32524/jksp.v4i2.1054

Kata Kunci:

TURP Syndrome, Irrigation Fluid, 0.9% NaCl and Sterile Water

Abstrak

Prostate hyperplasia occurs due to narrowing of the lumen, causing urinary retention. One of the surgical procedures performed is the Transurethral Resection of Prostate (TURP) operation followed by Continuous Bladder Irrigation using 0.9% NaCl and sterile water. This action can result in TURP syndrome. The aim of the research was to determine the difference between irrigation fluids between 0.9% NaCl and sterile water on TURP syndrome. Quantitative research method with analytical observation design. The study population was post-operative TURP patients with irrigation using 0.9% NaCl and sterile water. The research sample was secondary data from post-operative TURP patients with 0.9% NaCl irrigation and sterile water from 2015 to June 2019. Sampling used a purposive sampling technique with a total of 72 respondents (36 in the 0.9% NaCl group and 36 in the sterile water group). The results of the study showed that 22 people (61.1%) experienced mild TURP syndrome with 0.9% NaCl irrigation fluid out of 36 respondents, 8 people (22.2%) did not experience TURP syndrome, 5 people did not experience moderate TURP syndrome. (13.9%) and severe TURP syndrome in 1 person (2.8%). Meanwhile, 18 people (50%) who used sterile water did not experience TURP syndrome, 13 people (36.1%) had mild TURP syndrome, and 5 people (13.9%) had moderate TURP syndrome. The results of the bivariate test showed a p-value of 0.04. These results indicate that there is a difference in the average fluid that causes TURP syndrome in post-TURP surgery patients

Referensi

Abdalah, H. M., Hamza, A. A., & Ramadan, N. A. (2015). Comparative Evaluation of TURP Saline (Bipolar) Versus TURP Water (Monopolar) in management of Prostatic Enlargement. SAS Journal of Surgery, 97-99.

Black, J. M., & Hawks, J. H. (2014). Keperawatan Medikal Bedah Manajemen Klinis untuk Hasil yang Diharapkan. (8, Ed.) Singapore: Salemba Medika.

Collen, M. (2012). Bladder Irrigation. Agency for Clinical Innovation Urology Nursing.

Dissayabutra, T., Ungjaroenwathana, W., Bunyaratavej, C., Prasopsanti, K., & Tosukhowong, P. (2013). Irrigation With Water During Transurethral Resection of The Prostate (TURP) Induces Intravascular Hemolysis. Asian Biomedicine, 797-800. doi:10.5372/1905-7415.0706.242

Donnel, A. M. (2019). Anaesthesia for Transurethral Resection of The Prostate. The British Journal of Anaesthesia.

Febrianto, D., Ismonah, & Shobirun. (2015). Gambaran Sensasi Berkemih Pasien Post Operasi Transurethral Resection Of The Prostate (TURP) yang Diberi Tindakan Bladder Training di RSUD Tugurejo Semarang. Jurnal Ilmu Keperawatan dan Kebidanan (JIKK), 4.

Hahn, R. G. (2006). Fluid Absorption in Endoscopic Surgery. British Journal of Anaesthesia, 10.

Hahn, R. G. (2013). Glycine 1.5 % for Irrigation Should Be Abandoned. Urologia Internationalis, 251-253.

Hawary, A., Mukhtar, K., Sinclair, A., & Pearce, I. (2009). Transurethral Resection of the Prostate Syndrome: Almost Gone but Not Forgotten. Journal of Endourology, 23, 2016. doi:10.1089/end.2009.0129

Ignatavicius, D. D., & Workman, M. L. (2016). Medical Surgical Nursing Patient- Centered Collaborative Care. Canada: Elsevier.

Ince, C., & Groeneveld, A. J. (2014). The Case for 0.9% NaCl: Is The Undefendable, Defensible. International Society of Nephrology, 1090.

Karadeniz, M. S., Bayazit, E., Aksoy, O., Salviz, E. A., Tefik, T., Sanli, O., . . . Tugrul, K. M. (2016). Bipolar Versus monopolar Resection of Benign Prostate Hyperplasia: A Comparison of Plasma Electrolytes, hemoglobin and TUR Syndrome. Springer Open Journal, 6. doi:10.1186/s40064-016- 3407-7

Laksono, B. T., Suhardjendro, & Soemohardjo, S. (2008). Sindroma TURP. Group of Medical and Biomedical Scientists, 1.

Lewis, S. L., Heitkemper, M. M., & Dirksen, S. R. (2014). Medical Surgical Nursing-Assesment and Management of Clinical Problems. Canada: Elsevier.

Lim, Y. W., Tay, K. J., & Ho, H. S. (2014). The Minimally Invasive Treatments for Benign Prostate Hyperplasia. Proceedings of Singapore Healthcare, 72.

Maryudianto, W. (2016). Pengalaman Perawat Pada Penatalaksanaan Irigasi Traksi Kateter Threeway Pada Pasien TURP di Rumah Sakit Khusus Bedah Mojosongo II Karanganyar. Muhammadiyah Journal of Nursing.

Mawarti, H., Simbolon, I., Purnawinadi, I. G., Khotimah, K., Pranata, L., Simbolon, S., ... & Maramis, J. R. (2021). Pengantar Riset Keperawatan. Yayasan Kita Menulis.

Muttaqin , A., & Sari, K. (2009). Asuhan Keperawatan Perioperatif: Konsep, Proses, dan Aplikasi. Jakarta: Salemba Medika.

Nakahira, J., Sawai, T., Fujiwara, A., & Minami, T. (2014). transurethral Resection Syndrome In Elderly patients In Retrospective Observational Studies. BioMed Central Anesthesiology, 3.

Notoatmodjo, S. (2012). Metodologi Penelitian Kesehatan. Jakarta: Rineka Cipta.

Novelty, R., Rofinda, Z. D., & MYH, E. (2019). Korelasi Lama Operasi Dengan perubahan Kadar NatriumPasca Operasi transurethral Resection of The Prostate Di RSUP DR M. Djamil Padang . Jurnal Kesehatan Andalas, 38.

Nursalam. (2016). Metodologi penelitian Ilmu Keperawatan. Jakarta: Salemba Medika.

Nursalam, & Batticaca, F. B. (2011). Asuhan Keperawatan Pada Pasien dengan Gangguan Sistem Perkemihan. Jakarta: Salemba Medika.

Pranata, L. (2018). Pengaruh Hijamah Terhadap Kadar Eritrosit Dan Hematokrit Darah Vena Orang Sehat. Jurnal Kesehatan Saelmakers PERDANA, 1(2), 72-78.

Pranata, L., Koernawan, D., & Daeli, N. E. (2019, October). Efektifitas Rom Terhadap Gerak Rentang Sendi Lansia. In Proceeding Seminar Nasional Keperawatan (Vol. 5, No. 1, pp. 110-117).

Pranata, L., Indaryati, S., & Daeli, N. E. (2020). Perangkat Edukasi Pasien dan Keluarga dengan Media Booklet (Studi Kasus Self-Care Diabetes Melitus). Jurnal Keperawatan Silampari, 4(1), 102-111.

Pranata, L., Fari, A. I., & Indaryati, S. (2021). The Effects of Brain Gym and Coloring Pictures on Cognitive Functions of the Elderly. Media Karya Kesehatan, 4(1).

Pranata, L. (2018). Pemeriksaan Fisik.

Pasha, M. T., Khan, M. A., Jamal, Y., Wahab, F., Ashraf, H., & Naeemullah. (2015). Post Operative Complications with Glycine And Sterile Distilled Water After Transurethral Resection of Prostate. J Aub Med Coll Abbottabad, 137-138.

Potter, P. A., & Perry, A. G. (2010). Fundamentals of Nursing (7 ed.). Jakarta: Salemba Medika.

Rahman, R. A. (2015). Analisis Statistik Penelitian Kesehatan. Bogor: IN MEDIA.

Silverthorn, D. U. (2012). Fisiologi Manusia. Jakarta: Buku Kedokteran EGC. Singhania, P., Nandini, D., Sarita Fernandes, Hemant, P., & Hemalata , I. (2010).

Transurethral Resection of Prostate: A Comparison of Standard Monopolar versus Bipolar Saline Resection. International Braz J Urol, 186. doi:10.1590/S1677-55382010000200008

Subrata, S. A., Kesetyaningsih, T. W., Istanti, Y. P., & Rahmah. (2014). Penyusunan TURP Syndrome Tool Assessment. Muhammadiyah Journal of Nursing, 120-125

Sugito, Hairrudin, & H, L. T. (2013). Efektifitas Irigasi Kandung Kemih Dengan Cairan NaCl 0,9% Dingin Terhadap Hematuria Pada Pasien Post Operasi TUR-Prostat Di RSD DR Soebandi JEMBER. The Indonesian Journal of Health Science, 3, 168.

Suharyanto, T. (2009). Asuhan Keperawatan Pada Klien dengan Gangguan Sistem Perkemihan (Vol. 1). Jakarta.

Surani, V., Pranata, L., Sestiyowati, T. E., Anggraini, D., & Ernawati, S. (2022). Relationship between family support and self-care in hypertension patients. Formosa Journal of Multidisciplinary Research, 1(7), 1447-1458.

Teo, J. S., Lee, Y. M., & Ho, H. S. (2017). An Update on Transurethral Surgery for Benign Prostatic Obstruction. Asian Journal 0f Urologi, 196.

Zuhirman, Juananda, D., & Lestari, P. (2016). Gambaran Komplikasi Transurethral Resection of The Prostate pada Pasien Benign Prostatic Hyperplasia. Jurnal Ilmu Keperawatan dan Kebidanan, 46.